Evidence map›Paper›PMID 30518301›Full record

ArticlePharmacogenomics2019

CYP2C9*61, a rare missense variant identified in a Puerto Rican patient with low warfarin dose requirements.

Karla I Claudio-Campos, Pablo González-Santiago, Jessica Y Renta, Jovaniel Rodríguez, Kelvin Carrasquillo, Andrea Gaedigk, Abiel Roche, Jorge Ducongé

Abstract readCase Reports
In one paragraph

Article in Pharmacogenomics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Low-frequency variants at thePharmacogenomics · 2019
    Trial
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Karla I Claudio-CamposDepartment of Pharmacotherapy and Translational Research, University of Florida, College of Pharmacy, Gainesville, FL 36611, USA.
Pablo González-SantiagoDepartment of Pharmacology, School of Medicine, Medical Sciences Campus, University of Puerto Rico, San Juan, PR 00936, Puerto Rico.
Jessica Y RentaDepartment of Biochemistry, School of Medicine, Medical Sciences Campus, University of Puerto Rico, San Juan, PR 00936, Puerto Rico.
Jovaniel RodríguezDepartment of Chemistry, Rio Piedras Campus, University of Puerto Rico, San Juan, PR 00931, Puerto Rico.
Kelvin CarrasquilloResearch Centers for Minorities Institutions (RCMI) - Integrated Informatics Services University of Puerto Rico, Medical Sciences Campus, San Juan, PR 00936, Puerto Rico.
Andrea GaedigkDivision of Clinical Pharmacology, Toxicology & Therapeutic Innovation, Children's Mercy Kansas City, Kansas City, MO 64108, USA.
Abiel RocheResearch Centers for Minorities Institutions (RCMI) - Integrated Informatics Services University of Puerto Rico, Medical Sciences Campus, San Juan, PR 00936, Puerto Rico.
Jorge DucongéDepartment of Pharmaceutical Sciences, School of Pharmacy, Medical Sciences Campus, University of Puerto Rico, San Juan, PR 00936, Puerto Rico.
University of Puerto Rico, Medical Sciences Campus · PRChildren's Mercy Hospital · USUniversity of Florida · USUniversity of Puerto Rico at Río Piedras · PR

Funding

RISE Option III: MBRS RISE at the UPR Medical Sciences CampusR25GM061838 · NIGMS · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI CADILLA, CARMEN LYDIA · 2000 to 2021
$25.5M
TECHNOLOGIES AND RESOURCES FOR CORE LABORATORIESU54MD007587 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI LUCIANO, CARLOS A., NOBOA, CARIAMARIE · 2012 to 2018
$23.2M
TRANSLATIONAL PROTEOMICS CENTERG12MD007600 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI FERNANDEZ-REPOLLET, EMMA · 2012 to 2016
$11.0M
A Genomic Approach to Warfarin Dose Prescription in Admixed Caribbean Hispanics.SC1HL123911 · NHLBI · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI DUCONGE, JORGE · 2014 to 2017
$982k
NHLBI NIH HHS SC1 HL123911NIGMS NIH HHS R25 GM061838NIMHD NIH HHS G12 MD007600NIMHD NIH HHS U54 MD007587
6 · The paper itself

Abstract

Warfarin continues to be the mainstay therapy for preventing thrombus formation. Although pharmacogenetic algorithms have shown higher predictability of the optimal warfarin dose and lower occurrence of bleeding episodes, they often do not include ethno-specific genetic variants relevant to non-Europeans. This case report describes a rare missense variant at exon 9 of CYP2C9 (rs202201137; c.1370A>G transition; p.Asn457Ser) found in a Puerto Rican patient with low warfarin dose requirements (3 mg/day). The haplotype characterized by two amino acid changes, Asn457Ser and Arg144Cys (rs1799853; c.430C>T), has been designated CYP2C9*61 by the Pharmacogene Variation Consortium. According to prediction scores assessed with the Combined Annotation Dependent Depletion tool, CYP2C9*61 (p.Asn457Ser) was classified as nondeleterious, therefore its impact on CYP2C9 enzymatic activity cannot be postulated.

Indexed as

AgedAnticoagulantsCytochrome P-450 CYP2C9GenotypeHispanic or LatinoHumansMaleMutation, MissensePharmacogeneticsWarfarinAnticoagulantsCYP2C9 protein, humanCytochrome P-450 CYP2C9WarfarinanticoagulationhaplotypeHispanicsnext-generation sequencingpharmacogenetics (PGx)warfarin

Identifiers

PMID30518301
PMCPMC6479273
OpenAlexW2904933006

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.